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General NPI Number Information
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NPI Number | 1275946998
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Entity Type | Individual
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Provider Name | LUKE RANDALL STEELE M.S., ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1200 GRANDVIEW AVE BSMT
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City | DES MOINES
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State | IA
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Zip | 50316-1529
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Country | US
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Telephone | 515-263-6045
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Fax |
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Provider Business Mailing Address
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Address Line | 3326 E SOUTHLAWN DR
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City | DES MOINES
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State | IA
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Zip | 50320-2750
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Country | US
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Telephone | 319-239-7829
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Fax | 515-263-6145
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36002200A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 000728
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License Number State | IA
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